PNR 207/PNR207 Exam 2 V1 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is planning to delegate tasks to an Unlicensed Assistive
Personnel (UAP). Which task is appropriate for the LPN to delegate?
A. Evaluating a patient’s response to pain medication.
B. Assisting a stable patient with a bed bath and oral care.
C. Teaching a newly diagnosed diabetic patient how to self-administer insulin.
D. Performing an initial admission assessment on a surgical patient.
Correct Answer: B
Expert Explanation: Assisting with activities of daily living for a stable patient is within
the scope of a UAP. Evaluation, teaching, and assessment are professional nursing
responsibilities that cannot be delegated to unlicensed staff. This approach ensures patient
safety by keeping complex clinical judgments with the licensed nurse.
2. A nurse is caring for a client who is scheduled for surgery. The client expresses doubt and
states, ‘I am not sure if I want to go through with this.’ Which action should the nurse take?
A. Reassure the client that the surgeon is highly skilled.
B. Notify the surgeon that the client has questions regarding the procedure.
C. Encourage the client to sign the consent form to avoid delays.
,D. Explain the risks and benefits of the surgery to the client.
Correct Answer: B
Expert Explanation: The nurse’s role in informed consent is to witness the signature and
ensure the client understands their rights. If the client expresses doubt or lacks
understanding, the nurse must notify the provider who is responsible for explaining the
procedure. Providing clinical details about risks and benefits is the surgeon’s responsibility,
not the nurse’s.
3. Which of the following leadership styles is characterized by a leader who makes all
decisions without seeking input from staff members?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Correct Answer: A
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains total control. This style is often effective in emergency situations
where quick decisions are mandatory. However, it can lead to low staff morale in non-
emergency clinical settings.
, 4. An LPN is working on a medical-surgical unit. According to the principle of prioritization,
which patient should the nurse see first?
A. A patient with a fractured hip reporting pain at a 7 out of 10.
B. A patient with chronic obstructive pulmonary disease (COPD) with an oxygen saturation
of 92%.
C. A patient who had an abdominal cholecystectomy 4 hours ago and is reporting nausea.
D. A patient with a history of heart failure who is suddenly short of breath and coughing
pink, frothy sputum.
Correct Answer: D
Expert Explanation: Shortness of breath and pink, frothy sputum are classic signs of acute
pulmonary edema, which is a life-threatening emergency. This patient requires immediate
intervention to maintain airway and oxygenation. The other patients, while requiring care,
are currently stable or reporting expected postoperative findings.
5. A nurse is preparing to administer a medication to a patient. Which action is the most
effective way to prevent medication errors?
A. Relying on the pharmacist to check all dosages.
B. Asking the patient’s roommate to confirm the patient’s identity.
C. Comparing the medication label against the MAR three times.
D. Administering medications from the bedside table left by the previous shift.
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is planning to delegate tasks to an Unlicensed Assistive
Personnel (UAP). Which task is appropriate for the LPN to delegate?
A. Evaluating a patient’s response to pain medication.
B. Assisting a stable patient with a bed bath and oral care.
C. Teaching a newly diagnosed diabetic patient how to self-administer insulin.
D. Performing an initial admission assessment on a surgical patient.
Correct Answer: B
Expert Explanation: Assisting with activities of daily living for a stable patient is within
the scope of a UAP. Evaluation, teaching, and assessment are professional nursing
responsibilities that cannot be delegated to unlicensed staff. This approach ensures patient
safety by keeping complex clinical judgments with the licensed nurse.
2. A nurse is caring for a client who is scheduled for surgery. The client expresses doubt and
states, ‘I am not sure if I want to go through with this.’ Which action should the nurse take?
A. Reassure the client that the surgeon is highly skilled.
B. Notify the surgeon that the client has questions regarding the procedure.
C. Encourage the client to sign the consent form to avoid delays.
,D. Explain the risks and benefits of the surgery to the client.
Correct Answer: B
Expert Explanation: The nurse’s role in informed consent is to witness the signature and
ensure the client understands their rights. If the client expresses doubt or lacks
understanding, the nurse must notify the provider who is responsible for explaining the
procedure. Providing clinical details about risks and benefits is the surgeon’s responsibility,
not the nurse’s.
3. Which of the following leadership styles is characterized by a leader who makes all
decisions without seeking input from staff members?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Correct Answer: A
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains total control. This style is often effective in emergency situations
where quick decisions are mandatory. However, it can lead to low staff morale in non-
emergency clinical settings.
, 4. An LPN is working on a medical-surgical unit. According to the principle of prioritization,
which patient should the nurse see first?
A. A patient with a fractured hip reporting pain at a 7 out of 10.
B. A patient with chronic obstructive pulmonary disease (COPD) with an oxygen saturation
of 92%.
C. A patient who had an abdominal cholecystectomy 4 hours ago and is reporting nausea.
D. A patient with a history of heart failure who is suddenly short of breath and coughing
pink, frothy sputum.
Correct Answer: D
Expert Explanation: Shortness of breath and pink, frothy sputum are classic signs of acute
pulmonary edema, which is a life-threatening emergency. This patient requires immediate
intervention to maintain airway and oxygenation. The other patients, while requiring care,
are currently stable or reporting expected postoperative findings.
5. A nurse is preparing to administer a medication to a patient. Which action is the most
effective way to prevent medication errors?
A. Relying on the pharmacist to check all dosages.
B. Asking the patient’s roommate to confirm the patient’s identity.
C. Comparing the medication label against the MAR three times.
D. Administering medications from the bedside table left by the previous shift.
